| NPI | 1184452781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 148740) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025007914) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2025007914) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS TMP-162812) | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-06-19 |